Individual provider Active NPI

Marcia A. Oliver, M.D.

  • Family Medicine Physician
  • Easley, SC
National Provider Identifier
1396722849
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20189 Issued in SC
Practice address
115 Brushy Creek Rd
Easley, SC 29642-1120
Phone
(864) 855-1633
Fax
(864) 855-1323
NPI assigned
Dec 27, 2005
Last updated
Oct 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20189 SC Primary

Addresses

Primary practice location

115 Brushy Creek Rd
Easley, SC 29642-1120

Mailing address

115 Brushy Creek Rd
Easley, SC 29642-1120
Phone (864) 855-1633

Other identifiers 3

IdentifierTypeStateIssuer
1396722849OtherSCNPI
N00958MedicaidSC
20189OtherSCSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, TX, GU, NM4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20120409000400 SC Practitioner - Family Practice 1254592892 Reassigns benefits to 1 organization
I20150415001022 TX Practitioner - Family Practice 1254592892 Reassigns benefits to 4 organizations
I20201005001926 GU Practitioner - Emergency Medicine 1254592892 Reassigns benefits to 1 organization
I20201210000235 NM Practitioner - Family Practice 1254592892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Florida College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guam Memorial HospitalGroup PAC ID 5890781694, 132 clinicians
Taos Picuris Health CenterGroup PAC ID 5193638245, 8 clinicians

Practice addresses (Care Compare)

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913-3128
Phone (671) 647-2552

PO Box
Suite 1946
Taos, NM 87571-1946
Phone (575) 758-6966

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center Current Accepting new patients
DHHS IHS Phoenix CurrentSince Oct 19, 2017 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Oct 19, 2017 Accepting new patients
Presbyterian Medical Services CurrentSince Dec 14, 2020 Accepting new patients
Guam Memorial Hospital CurrentSince Jun 23, 2020 Accepting new patients
Spartanburg Medical Center Family Medicine CurrentSince Jan 16, 2016 Accepting new patients
Taos Picuris Health Center CurrentSince Mar 7, 2015 Accepting new patients
Presbyterian Medical Services CurrentSince Dec 14, 2020 Accepting new patients
Santa Ana Health Center CurrentSince May 4, 2015 Accepting new patients
Albuquerque Indian Health Center CurrentSince May 4, 2015 Accepting new patients
Presbyterian Medical Services Current Accepting new patients
Spartanburg Medical Center CurrentSince Jan 16, 2016 Accepting new patients
Guam Memorial Hospital CurrentSince Jun 23, 2020 Accepting new patients
Oaktree Medical Centre, PC Past Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone (671) 647-2555

850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552

801 Vassar Dr NE
Albuquerque, NM 87106
Phone (505) 248-4000

2 Dove Rd
#C
Bernalillo, NM 87004
Phone (505) 867-2497

1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565

101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554

151 Peachwood Centre Dr
Spartanburg, SC 29301
Phone (864) 560-9627

2660 Reidville Rd
Unit 1
Spartanburg, SC 29301
Phone (864) 560-9696

853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1396722849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BRUSHY CREEK RD",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296421120",
            "telephone_number": "864-855-1633",
            "fax_number": "864-855-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BRUSHY CREEK RD",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296421120",
            "telephone_number": "864-855-1633",
            "fax_number": "864-855-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "MARCIA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "20189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1396722849",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N00958",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "20189",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Easley, SC

Sources for this page

Verify at the official NPI Registry.